Fall 2026 Retreat

WHERE: 22505 Black Rock Rd, Falls City, OR 97344

WHEN: November 20 - 23, 2026

Arrival: Friday, 6:30pm (drop off unless otherwise specified by your church

Pickup: Monday, 12:00pm

COST: $160 *Early bird special until 10/31 - $150

Money is nonrefundable after November 8th. (If an emergency occurs please reach out to your trip leader for special consideration)

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

For registration questions contact Jake Michalovich, (760) 828-2205, [email protected]

For camp questions contact your Youth Pastor.

Participant Information

Guest Type

Church/Ministry Affiliation

Registration Options

Register with a full payment ($150.00)
Please select to make a full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($150.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Coupon Code

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Date of Birth

Phone

Participant Address

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Female

Ethnicity

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School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

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Address is same as participant

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Total

$0.00

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Billing Information

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